10,434 research outputs found

    The challenges of renal replacement therapy and renal palliative care in the elderly

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    Much of the increase in take on rate for dialysis in recent years is accounted for by older patients in whom a treatment as demanding as dialysis was previously thought to be contraindicated. The decision to dialyse the elderly often remains difficult, as recent data suggest that those with significant comorbidities are unlikely to survive more than 4-6 months longer on dialysis than they would have done if treated conservatively. It is also important to recognise that conservative treatment is not simply defined by the decision not to dialyse. Good conservative care comprises active disease management eg treatment of anaemia with erythropoietin stimulating agents and intravenous iron, and supportive care which may become increasingly complex eg pain relief with fentanyl and alfentanyl, towards the end of life. Those older patients who do decide to dialyse must contend with all the usual end of life issues facing older people, in addition to the option, denied to the rest of us, of dialysis withdrawal which effectively allows them to die at a time of their choosing

    Investigating employee harassment via social media

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    Previously the investigation of employee harassment within the workplace would typically have involved obtaining evidence regarding physical contact, verbal contact (face to face or via telephone) or written contact (via letters or notes or email) between a suspect and a victim. Social media has added a new avenue to the investigation of employee harassment that goes beyond the physical workplace and normal working hours. In this paper we examine the process of computer forensic investigation of employee harassment via social media and the legal aspects of such. In particular we examine employee harassment via social media in terms of the reporting of harassment, the computer forensic investigation process, the relevant UK legislation and its application, and discuss good practice guidelines for educating employers and employees regarding how to use social media in the workplace and beyond in an acceptable manner

    The problem of political science and practical politics

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    Copyright @ 2006 The AuthorsWe reflect on the reasons why there is not a greater and more fruitful relationship between those who seek to understand policy and the political process from academia and those with a similar task in ‘practical politics’. We attribute this lack of engagement to three core factors: (1) from without, instrumental government visions of political science perpetuate the view that the discipline exists to serve those with power; (2) from within, scientism and abstraction diminish the discipline's stock of ‘usable’ product for ‘practical politics’; and (3) where relevant research exists, its uptake is hampered by limited communication between these spheres

    Action research in physical education: focusing beyond myself through cooperative learning

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    This paper reports on the pedagogical changes that I experienced as a teacher engaged in an action research project in which I designed and implemented an indirect, developmentally appropriate and child‐centred approach to my teaching. There have been repeated calls to expunge – or at least rationalise – the use of traditional, teacher‐led practice in physical education. Yet despite the advocacy of many leading academics there is little evidence that such a change of approach is occurring. In my role as teacher‐as‐researcher I sought to implement a new pedagogical approach, in the form of cooperative learning, and bring about a positive change in the form of enhanced pupil learning. Data collection included a reflective journal, post‐teaching reflective analysis, pupil questionnaires, student interviews, document analysis, and non‐participant observations. The research team analysed the data using inductive analysis and constant comparison. Six themes emerged from the data: teaching and learning, reflections on cooperation, performance, time, teacher change, and social interaction. The paper argues that cooperative learning allowed me to place social and academic learning goals on an even footing, which in turn placed a focus on pupils’ understanding and improvement of skills in athletics alongside their interpersonal development
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